| NPI | 1811277882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360526) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R234065) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2024-02-21 |